| First Name: |
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| Last Name: |
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| Dog's Name: |
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| Dog's Breed: |
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| How old is your dog?: |
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| Does your dog to go dog parks, dog beach or doggie day care?: |
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| Has your dog had previous training?: |
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| Where did you get your dog from?: |
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| Is your dog a rescue?: |
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| Is your dog aggressive to other dogs?: |
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| Is your dog aggressive to humans?: |
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| Do you want to use a choke chain on your dog?: |
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| Do you want to use a pinch collar on your dog?: |
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| if you answered no to the last two questions keep going....if you answered yes, sorry.: |
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| Do you have a good sense of humor? (vital to my class): |
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| Email: |
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